BON-ANA-66

Code
BON-ANA-66
Mercy ID
V-00554-01
Encounter Date
06/26/2001
Last
Bonilla
First
Ana
DOB
05/10/1966
County
Cobb
Street
3284 Hopkins Rd.
City
Powder spring
State
GA
Zip
30127-
Home
(678) 907-0992
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
Home Owner
YES

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Manzo
Data Entry
K. Aleman